| Devonshire Dental Group | |
|
15300 Devonshire St Ste 6 Mission Hills CA 91345-2758 | |
| (818) 894-6411 | |
| Not Available |
| Full Name | Devonshire Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 15300 Devonshire St Ste 6, Mission Hills, California |
| Authorized Official Name and Position | Kaveh Kohanof (OWNER) |
| Authorized Official Contact | 8186057917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devonshire Dental Group 15300 Devonshire St Ste 6 Mission Hills CA 91345-2758 Ph: (818) 894-6411 | Devonshire Dental Group 15300 Devonshire St Ste 6 Mission Hills CA 91345-2758 Ph: (818) 894-6411 |
| NPI Number | 1265845564 |
|---|---|
| Provider Enumeration Date | 06/04/2014 |
| Last Update Date | 06/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265845564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 59573 (California) | Primary |
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Devonshire Dental Group Dental Clinic Medicare: Medicare Enrolled Practice Location: 15534 Devonshire St Unit 108, Mission Hills, CA 91345 Phone: 818-894-6411 Fax: 818-830-5283 | |
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Devonshire Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15300 Devonshire St, #6, Mission Hills, CA 91345 Phone: 818-894-6411 Fax: 818-830-5283 |